Tooth Extractions in Pittsburgh

While preserving your natural teeth is always our goal, there are times when a tooth extraction is the best solution to protect your oral health. At Pittsburgh Oral Surgery, Dr. Eichner, Dr. Smiga, Dr. Davies, Dr. Robertson, Dr. Hartman or Dr. Powers provide safe, comfortable tooth extractions using advanced surgical techniques and personalized care.

A tooth may need to be removed for a variety of reasons, including:

• Severe tooth decay that cannot be restored
• Advanced periodontal (gum) disease
• A cracked or fractured tooth below the gumline
• Dental trauma
• Overcrowding before orthodontic treatment
• Impacted teeth that cannot erupt properly
• Infection that cannot be successfully treated with root canal therapy

Before recommending an extraction, our surgeons will perform a comprehensive examination, review digital imaging, and discuss every available treatment option. Whenever possible, we strive to save your natural tooth before considering extraction.

What Happens During a Tooth Extraction?

Your comfort is our priority. Before the procedure begins, the area around the tooth is completely numbed using a local anesthetic. Depending on your needs and the complexity of the procedure, sedation options may also be available to help you feel relaxed.

Once the area is numb, your surgeon gently loosens the tooth from the surrounding bone and ligaments before removing it. Although you will feel pressure during the procedure, you should not experience pain. If you feel any discomfort, let your surgeon know immediately so additional anesthetic can be administered.

Simple vs. Surgical Tooth Extractions

The type of extraction depends on the condition and position of the tooth.

Simple Extractions

A simple extraction is performed when the tooth is fully visible above the gumline and can be removed without additional surgical treatment.

Surgical Extractions

A surgical extraction may be necessary if a tooth is broken below the gumline, impacted, or difficult to access. In these cases, a small incision may be made to safely remove the tooth while preserving as much surrounding bone and tissue as possible.

Sectioning a Tooth

In some situations, a tooth is too firmly anchored in the jaw or has curved roots that make removal difficult. To minimize trauma to the surrounding bone, your surgeon may divide the tooth into smaller sections. Each section is then carefully removed individually, making the extraction safer and often resulting in a smoother recovery.

Replacing an Extracted Tooth

Leaving a missing tooth untreated can lead to shifting teeth, bite problems, bone loss, and changes in your smile. Depending on your individual needs, our surgeons may recommend replacing the extracted tooth with:

• Dental implants
• A dental bridge
• A removable partial denture

We will discuss the best tooth replacement options during your consultation to help restore your smile and maintain your long-term oral health.

Recovery After Tooth Extraction

Most patients recover quickly following a tooth extraction. Mild swelling, tenderness, and minor bleeding are normal during the first few days. Following your post-operative instructions carefully can help reduce discomfort and promote faster healing.

We recommend that patients:

• Rest for the remainder of the day
• Apply ice packs to reduce swelling
• Take prescribed or recommended medications as directed
• Eat soft foods while the area heals
• Avoid smoking, drinking through a straw, and vigorous rinsing during the initial healing period

For complete recovery instructions, please visit our After Extractions page under Surgical Instructions.

Why Choose an Oral and Maxillofacial Surgeon for Tooth Extraction?

Oral and maxillofacial surgeons receive years of advanced hospital-based surgical training beyond dental school. This specialized education allows them to safely perform routine and complex tooth extractions, manage impacted teeth, provide multiple sedation options, and treat patients with complex medical conditions—all while focusing on patient comfort and long-term oral health.

Frequently Asked Questions About Tooth Extractions

Will a tooth extraction hurt?

No. The area will be completely numbed before treatment, and sedation may be available if needed. You will likely feel pressure, but you should not feel pain during the procedure.

How long does it take to recover?

Most patients return to normal daily activities within a few days, although complete healing of the extraction site may take several weeks.

When should I replace a missing tooth?

Replacing a missing tooth as soon as possible helps prevent neighboring teeth from shifting and helps preserve the jawbone. Dental implants are often considered the gold standard for tooth replacement.

Can I drive after my appointment?

If you receive only local anesthesia, you can usually drive yourself home. However, if sedation is used, you will need a responsible adult to drive you home.

Tooth Extraction Reviews